Martin T Sachse, D.M.D., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

ID03580 Issued in ID

Practice address

2720 Overland Road
Boise, ID 83705

Phone

(208) 345-9096

Fax

(208) 345-8412

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Martin T. Sachse, D.M.D., P.C.

  • General Practice Dentistry
  • Boise, ID
  • NPI 1760577332
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1790870293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 OVERLAND ROAD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83705",
            "telephone_number": "208-345-9096",
            "fax_number": "208-345-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 OVERLAND ROAD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83705",
            "telephone_number": "208-345-9096",
            "fax_number": "208-345-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHSE",
        "first_name": "MARTIN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.M.D., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "ID03580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST OF ID DENTAL PROVIDER",
            "identifier": "ID03580",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Ryther, PTA
• S.T.a.R.R. Family Behavioral Health, LLC
• Nuha Saadon
• Kristen Saak, M.D.
• Alice Sabourin, LPN
• Irvin E Sackman Jr., MD
• Venkatraman Sadanand, MD
• Steve Sadicario, M.D.
• Sadiki Counseling Services, PLLC
• Brianna Monet Saeed

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.